The study was reported as qualitative and to have been conducted by the 'Australian National Health and Medical Research Council' research study. It is stated as follows of the study: "The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture." (McGrath, 2007)
Findings include the development of a working model focused on enabling the "integration of palliative care into adult hematology. The model is accredited the development of a new language for understanding and fostering the integration of palliative care and hematology." (McGrath, 2007)
One reason that palliative care is so important for hematology patients are necessary provisions of informed consent and other end-of-life issues. That is because many of these issues have to do with factors related to survival and its priority over quality of life for these patients. It is specifically stated: "Survival benefit is often the primary outcome measure in clinical research relating to palliative chemotherapy. This suggests a difference in perspective between palliative care clinicians, for whom "palliative" refers to improvement in quality of life, and those clinicians who focus on prolonging life. Emphasizing survival gain, however, might not be in conflict with the wishes of patients. Many patients with advanced cancer priorities survival over quality of life1and oncologists might "collude" with them in attempting to do something active about the disease." (Audrey, et al., 2008)
The primary reason for these considerations include that "
The offer of active treatment with palliative effects can support patients through a process of adjustment from the distress of diagnosis towards goals other than long-term survival. But if survival benefit is not discussed when treatment decisions are being made, there can be a considerable gap between patients' hopes and what can usually be achieved." (Audrey, et al., 2008) Continuous and ongoing...
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